1. د. عماد غانم
د.عماد غانم
د.دد.

2. (Islets of Langerhans)
Endocrine Pancreas
(Islets of Langerhans)

3. Pancreatic Islets
Spherical or egg-shaped masses of endocrine tissue embedded within exocrine tissue of the pancreas.
Most numerous in the tail of the gland.
More than 1 million islets in the human, but only constitute 1–2% of the organ's volume.
A very thin capsule of reticular fibers surrounds each islet, separating it from the adjacent acinar tissue.
Each islet consists of polygonal or rounded cells, smaller and more lightly stained than the surrounding acinar cells, arranged in cords that are separated by a network of fenestrated capillaries.

6. Hormone-producing Islet Cells
The major hormone-producing islet cells are most easily identified and studied by immunohistochemistry:
Alfa or A cells secrete primarily glucagon and are usually located near the periphery of islets.
Beta or B cells produce insulin , are located centrally in islets and are the most numerous cell type.
Delta or D cells, secreting somatostatin, are scattered and much less abundant.
PP or F cells, A minor fourth cell type, more common in islets located within the head of the pancreas, secrete pancreatic polypeptide.

8. Diabetes Mellitus

9. Thyroid
Gland

10. ANATOMY

11. EMBRYOLOGY

13. Thyroid Hormones
Tetra-iodothyronine (T4) (Thyroxine)
Tri-iodothyronine (T3)

14. Functions of the Thyroid Hormones
Important for growth and cell differentiation.
Control of the BMR and O2 consumption in cells of the body.
Affect protein, lipid, and CHO metabolism.

16. The parenchyma of the thyroid is composed of millions of rounded epithelial structures called follicles.
Each follicle consists of a simple epithelium and a central lumen filled with a gelatinous substance called colloid.
Follicular cells range in shape from squamous to low columnar. The size and cellular features of follicles vary with their functional activity

17. Parafollicular, or Clear cell (C cell)
Parafollicular, or clear cell (C cell), is found inside the basal lamina of the follicular epithelium or as isolated clusters between follicles.
Derived from neural crest cells migrating into the area of the embryonic foregut,
Usually somewhat larger than follicular cells and stain less intensely.
These cells synthesize and secrete calcitonin, one function of which is to suppress bone resorption by osteoclasts. Calcitonin secretion is triggered by elevated blood Ca2+ levels.

19. Control of Thyroid Function

20. Hypothyroidism

21. Congenital Hypothyroidism
(cretinism)

23. Iodine Deficiency Goiter

24. Hyperthyroidism

25. Graves' disease

26. Parathyroid
Glands

29. There are two types of cells in the gland: chief (principle) cells and oxyphil cells.
The chief cells are small polygonal cells with round nuclei and pale-staining, slightly acidophilic cytoplasm. Secret parathyroid hormone (PTH).
Much smaller, often clustered, populations of oxyphil cells are sometimes present. These are much larger than the principal cells. The oxyphil cells appear at puberty, and their numbers increase with age. Their functions are unclear.

30. Hyperparathyroidism
and
Hypoparathyroidism

31. Osteitis Fibrosa Cystica

32. Tetany